Central Alabama Audiology, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1127A Issued in AL

Legal business name

CENTRAL ALABAMA AUDIOLOGY, LLC

Practice address

4 Office Park Cir
Selma, AL 36701-6538

Phone

(334) 872-9711

Fax

(334) 872-7574

NPI assigned

Apr 28, 2014

Last updated

Mar 12, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brady Bostick Rives, AU.D.NPI 1255749495

Title

Audiologits/Owner

Phone

(334) 872-9711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brady Bostick Rives, AU.D.

  • Audiologist
  • Selma, AL
  • NPI 1255749495
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1689084881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 DALLAS AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015744",
            "telephone_number": "334-872-9711",
            "fax_number": "334-526-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016538",
            "telephone_number": "334-872-9711",
            "fax_number": "334-872-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ALABAMA AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "RIVES",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "BOSTICK",
        "authorized_official_title_or_position": "AUDIOLOGITS/OWNER",
        "authorized_official_telephone_number": "334-872-9711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1127A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Selma, AL
• Providers in Selma, AL by specialty
• Audiologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.